the legal practitioners indemnity insurance fund npc … · 2019. 7. 4. · 2 2019/2020 lpiif...
TRANSCRIPT
1 2019/2020 LPIIF Master Policy
THE LEGAL PRACTITIONERS’ INDEMNITY INSURANCE FUND NPC
(Registration number 93/03588/08)
PROFESSIONAL INDEMNITY INSURANCE POLICY
1 JULY 2019 TO 30 JUNE 2020
2 2019/2020 LPIIF Master Policy
Preamble
The Legal Practitioners’ Fidelity Fund, as permitted by the Act, has contracted with
the Insurer to provide professional indemnity insurance to the Insured, in a sustainable
manner and with due regard for the interests of the public by:
a) protecting the integrity, esteem, status and assets of the Insured and the legal
profession;
b) protecting the public against indemnifiable and provable losses arising out of Legal
Services provided by the Insured, on the basis set out in this policy.
3 2019/2020 LPIIF Master Policy
Definitions:
I Act:
The Legal Practice Act 28 of 2014;
II Annual Amount of Cover:
The total available amount of cover for the Insurance Year for the aggregate of
payments made for all Claims, Approved Costs and Claimants’ Costs in
respect of any Legal Practice as set out in Schedule A;
III Approved Costs:
Legal and other costs incurred by the Insured with the Insurer’s prior written
permission (which will be in the Insurer’s sole discretion) in attempting to
prevent a Claim or limit the amount a Claim;
IV Legal Practitioners’ Fidelity Fund:
As referred to in Section 53 of the Act;
V Bridging Finance:
The provision of short-term finance to a party to a Conveyancing Transaction
before it has been registered in the Deeds Registry;
VI Claim:
A written demand for compensation from the Insured, which arises out of the
Insured’s provision of Legal Services. For the purposes of this policy, a written
demand is any written communication or legal document that either makes a
demand for or intimates or implies an intention to demand compensation or
damages from an Insured;
VII Claimant’s Costs:
The legal costs the Insured is obliged to pay to a claimant by order of a court,
arbitrator, or by an agreement approved by the Insurer;
VIII Conveyancing Transaction:
A transaction which:
4 2019/2020 LPIIF Master Policy
a) involves the transfer of legal title to or the registration of a real right in
immovable property from one or more legal entities or natural persons to
another; and/or
b) involves the registration or cancellation of any mortgage bond or real right
over immovable property; and/or
c) is required to be registered in any Deeds Registry in the Republic of South
Africa, in terms of any relevant legislation;
IX Cybercrime:
Any criminal or other offence that is facilitated by or involves the use of
electronic communications or information systems, including any device or the
internet or any one or more of them. (The device may be the agent, the facilitator
or the target of the crime or offence). Hacking of any of the electronic
environments is not a necessity in order for the offence or the loss to fall within
this definition;
X Defence Costs:
The reasonable costs the Insurer or Insured, with the Insurer’s written
consent, incurs in investigating and defending a Claim against an Insured;
XI Dishonest:
Bears its ordinary meaning but includes conduct which may occur without an
Insured’s subjective purpose, motive or intent, but which a reasonable legal
practitioner would consider to be deceptive or untruthful or lacking integrity or
conduct which is generally not in keeping with the ethics of the legal profession;
XII Employee:
A person who is or was employed or engaged by the Legal Practice to assist
in providing Legal Services. (This includes in-house legal consultants,
associates, professional assistants, candidate legal practitioners, paralegals
and clerical staff but does not include an independent contractor who is not a
Practitioner.);
5 2019/2020 LPIIF Master Policy
XIII Excess:
The first amount payable by the Insured (or deductible) in respect of each and
every Claim (including Claimant’s Costs) as set out in schedule B.
XIV Fidelity Fund Certificate:
A certificate provided for in terms of section 85 of the Act, read with Rules 3,
47, 48 and 49 of the South African Legal Practice Council Rules made under
the authority of section 95(1) of the Act;
XV Innocent Principal:
Each present or former Principal who:
a) may be liable for the debts and liabilities of the Legal Practice;
b) did not personally commit or participate in committing the Dishonest,
fraudulent or other criminal act and had no knowledge or awareness of
such act;
XVI Insured:
The persons or entities referred to in clauses 5 and 6 of this policy;
XVII Insurer:
The Legal Practitioners’ Indemnity Insurance Fund NPC, Reg. No. 93/03588/08;
XVIII Insurance Year:
The period covered by the policy, which runs from 1 July of the first year to 30
June of the following year;
XIX Legal Practice:
The person or entity listed in clause 5 of this policy;
XX Legal Services:
Work reasonably done or advice given in the ordinary course of carrying on the
business of a Legal Practice in the Republic of South Africa in accordance with
the provisions of section 33 of the Act. Work done or advice given on the law
applicable in jurisdictions other than the Republic of South Africa are specifically
6 2019/2020 LPIIF Master Policy
excluded, unless provided by a person admitted to practise in the applicable
jurisdiction;
XXI Practitioner:
Any attorney, advocate referred to in section 34(2)(b) of the Act , notary or
conveyancer as defined in the Act;
XXII Prescription Alert:
The computerised back-up diary system that the Insurer makes available to the
legal profession;
XXIII Principal:
An advocate referred in section 34(2)(b) of the Act, sole Practitioner, partner
or director of a Legal Practice or any person who is publicly held out to be a
partner or director of a Legal Practice;
XXIV Risk Management Questionnaire:
A self-assessment questionnaire which can be downloaded from or completed
on the Insurer’s website (www.lpiif.co.za) and which must be completed
annually by the advocate referred to in section 34(2)(b) of the Act, sole
practitioner, senior partner, director or designated risk manager of the Insured
as referred to in clause 5. The annual completion of this questionnaire is
compulsory, both in terms of the Master Policy (see clauses XXIV and 23) and
the South African Legal Practice Council Rules (the Rules) made under the Act.
The Insurer will not indemnify the Insured in respect of a Claim unless the
completed questionnaire has been submitted. For attorneys this is set out in
point 15 of the application for a Fidelity Fund certificate form (schedule 7A of
the Rules). Advocates referred to in section 34(2)(b) of the Act must also
complete this questionnaire annually (see point 13 of the application for a
Fidelity Fund certificate form (schedule 7B of the Rules).
XXV Road Accident Fund claim (RAF):
A claim for compensation for losses in respect of bodily injury or death caused
by, arising from or in any way connected with the driving of a motor vehicle (as
7 2019/2020 LPIIF Master Policy
defined in the Road Accident Fund Act 56 of 1996 or any predecessor or
successor of that Act) in the Republic of South Africa;
XXVI Senior Practitioner:
A Practitioner with no less than 15 years’ standing in the legal profession, with
experience in professional indemnity insurance law;
XXVII Trading Debt:
A debt incurred as a result of the undertaking of the Insured’s business or trade.
(Trading debts are not compensatory in nature and this policy deals only with
claims for compensation.) This exclusion includes (but is not limited to) the
following:
a) a refund of any fee or disbursement charged by the Insured to a client;
b) damages or compensation or payment calculated by reference to any
fee or disbursement charged by the Insured to a client;
c) payment of costs relating to a dispute about fees or disbursements
charged by the Insured to a client; and/or
d) any labour dispute or act of an administrative nature in the Insured’s
practice.
What cover is provided by this policy?
1. On the basis set out in this policy, the Insurer agrees to indemnify the Insured
against professional legal liability to pay compensation to any third party:
a) that arises out of the provision of Legal Services by the Insured; and
b) where the Claim is first made against the Insured during the current
Insurance Year.
2. The Insurer agrees to indemnify the Insured for Claimants’ Costs and Defence
Costs on the basis set out in this policy.
3. The Insurer agrees to indemnify the Insured for Approved Costs in connection
with any Claim referred to in clause 1.
8 2019/2020 LPIIF Master Policy
4. As set out in clause 38, the Insurer will not indemnify the Insured in the current
Insurance Year, if the circumstance giving rise to the Claim has previously been
notified to the Insurer by the Insured in an earlier Insurance Year.
Who is insured?
5. Provided that each Principal had a Fidelity Fund Certificate at the time of the
circumstance, act, error or omission giving rise to the Claim , the Insurer insures all
Legal Practices providing Legal Services, including:
a) a sole Practitioner;
b) a partnership of Practitioners;
c) an incorporated Legal Practice as referred to in section 34(7) of the Act; and
d) an advocate referred to in section 34 (2)(b) of the Act. For purposes of this
policy, an advocate referred to in section 34(2)(b) of the Act, will be regarded
as a sole practitioner.
6. The following are included in the cover, subject to the Annual Amount of Cover
applicable to the Legal Practice:
a) a Principal of a Legal Practice providing Legal Services, provided that the
Principal had a Fidelity Fund Certificate at the time of the circumstance, act,
error or omission giving rise to the Claim;
b) a previous Principal of a Legal Practice providing Legal Services, provided
that that Principal had a Fidelity Fund Certificate at the time of the
circumstance, act, error or omission giving rise to the Claim;
c) an Employee of a Legal Practice providing Legal Services at the time of the
circumstance, act, error or omission giving rise to the Claim;
d) the estates of the people referred to in clauses 6(a), 6(b) and 6(c).
9 2019/2020 LPIIF Master Policy
e) subject to clause 16(c), a liquidator or trustee in an insolvent estate, where the
appointment is or was motivated solely because the Insured is a Practitioner
and the fees derived from such appointment are paid directly to the Legal
Practice.
Amount of cover
7. The Annual Amount of Cover, as set out in Schedule A, is calculated by reference
to the number of Principals that made up the Legal Practice on the date of the
circumstance, act, error or omission giving rise to the Claim.
A change during the course of an insurance year in the composition of a Legal
Practice which is a partnership will not constitute a new Legal Practice for purposes
of this policy and would not entitle that Legal Practice to more than one limit of
indemnity in respect of that Insurance Year.
8. Schedule A sets out the maximum Annual Amount of Cover that the Insurer
provides per Legal Practice. This amount includes payment of compensation
(capital and interest) as well as Claimant’s Costs and Approved Costs.
9. Cover for Approved Costs is limited to 25% of the Annual Amount of Cover or
such other amount that the Insurer may allow in its sole discretion.
Insured’s excess payment
10. The Insured must pay the Excess in respect of each Claim, directly to the claimant
or the claimant’s legal representatives, immediately it becomes due and payable.
Where two or more Claims are made simultaneously, each Claim will attract its own
Excess and to the extent that one or more Claims arise from the same circumstance,
act, error or omission the Insured must pay the Excess in respect of each such
Claim;
11. The Excess is calculated by reference to the number of Principals that made up
the Legal Practice on the date of the circumstance, act, error or omission giving
10 2019/2020 LPIIF Master Policy
rise to the Claim, and the type of matter giving rise to the Claim, as set out in
Schedule B.
12. The Excess set out in column A of Schedule B applies:
a) in the case of a Claim arising out of the prescription of a Road Accident
Fund claim. This Excess increases by an additional 20% if Prescription
Alert has not been used and complied with by the Insured, by timeous
lodgement and service of summons in accordance with the reminders sent
by Prescription Alert;
b) in the case of a Claim arising from a Conveyancing Transaction.
13. In the case of a Claim where clause 20 applies, the excess increases by an
additional 20%.
14. No Excess applies to Approved costs or Defence costs.
15. The Excess set out in column B of Schedule B applies to all other types of Claim.
What is excluded from cover?
16. This policy does not cover any liability for compensation:
a) arising out of or in connection with the Insured’s Trading Debts or those of any
Legal Practice or business managed by or carried on by the Insured;
b) arising from or in connection with misappropriation or unauthorised borrowing
by the Insured or Employee or agent of the Insured or of the Insured's
predecessors in practice, of any money or other property belonging to a client
or third party and/or as referred to in section 55 of the Act;
c) which is insured or could more appropriately have been insured under any other
valid and collectible insurance available to the Insured, covering a loss arising
out of the normal course and conduct of the business or where the risk has been
guaranteed by a person or entity, either in general or in respect of a particular
11 2019/2020 LPIIF Master Policy
transaction, to the extent to which it is covered by the guarantee. This includes
but is not limited to Misappropriation of Trust Funds, Personal Injury,
Commercial and Cybercrime insurance policies;
d) arising from or in terms of any judgment or order(s) obtained in the first instance
other than in a court of competent jurisdiction within the Republic of South
Africa;
e) arising from or in connection with the provision of investment advice, the
administration of any funds or taking of any deposits as contemplated in:
(i) the Banks Act 94 of 1990;
(ii) the Financial Advisory and Intermediary Services Act 37 of 2002;
(iii) the Agricultural Credit Act 28 of 1996;
(iv) any law administered by the Financial Sector Conduct Authority and/or the
South African Reserve Bank and any regulations issued thereunder; or
(v) the Medical Schemes Act 131 of 1998
as amended or replaced;
f) arising where the Insured is instructed to invest money on behalf of any
person, except for an instruction to invest the funds in an interest-bearing
account in terms of section 78(2A) of the Attorneys Act 53 of 1979 and/or
section 86(4) of the Act, and if such investment is done pending the
conclusion or implementation of a particular matter or transaction which is
already in existence or about to come into existence at the time the investment
is made;
This exclusion does not apply (subject to the other provisions of this policy) to
funds which the Insured is authorised to invest in his or her capacity as
executor, trustee, curator or in any similar representative capacity;
g) arising from or in connection with any fine, penalty, punitive or exemplary
damages awarded against the Insured, or from an order against the Insured
to pay costs de bonis propriis;
12 2019/2020 LPIIF Master Policy
h) arising out of or in connection with any work done on behalf of an entity defined
in the Housing Act 107 of 1997 or its representative, with respect to the
National Housing Programme provided for in the Housing Act;
i) directly or indirectly arising from, or in connection with or as a consequence of
the provision of Bridging Finance in respect of a Conveyancing
Transaction. This exclusion does not apply where Bridging Finance has
been provided for the payment of:
(i) transfer duty and costs;
(ii) municipal or other rates and taxes relating to the immovable property
which is to be transferred;
(iii) levies payable to the body corporate or homeowners’ association relating
to the immovable property which is to be transferred;
j) arising from the Insured’s having given an unqualified undertaking legally
binding his or her practice, in matters where the fulfilment of that undertaking
is dependent on the act or omission of a third party;
k) arising out of or in connection with a breach of contract unless such breach is
a breach of professional duty by the Insured;
l) arising where the Insured acts or acted as a business rescue practitioner as
defined in section 128 (1) (d) of the Companies Act 71 of 2008;
m) arising out of or in connection with the receipt or payment of funds, whether
into or from trust or otherwise, where that receipt or payment is unrelated to or
unconnected with a particular matter or transaction which is already in
existence or about to come into existence and is an essential or integral part
of the scope of the mandate to carry out Legal Services, at the time of the
receipt or payment and in respect of which the Insured has received a
mandate;
n) arising out of a defamation Claim that is brought against the Insured ;
o) arising out of Cybercrime. Losses arising out of Cybercrime will include, but
not be limited to, payments made into the an incorrect and/or fraudulent bank
13 2019/2020 LPIIF Master Policy
account where either the Insured or any other party has been induced to make
the payment into the incorrect bank account and has failed to verify the
authenticity of such bank account;
For purposes of this clause, “verify” means that the Insured must have a face
to face meeting with the client and or other intended recipient of the funds. The
client (or other intended recipient of the funds, as the case may be) must
provide the Insured with an original signed and duly commissioned affidavit
confirming the instruction to change their banking details and attaching an
original stamped document from the bank confirming ownership of the
account.
p) arising out of a Claim against the Insured by an entity in which the
Insured and/or related or interrelated persons* has/have a material interest
and/or hold/s a position of influence or control**.
* as defined in section 2(1) of the Companies Act 71 of 2008
** as defined in section 2(2) of the Companies Act 71 of 2008
For the purposes of this paragraph, “material interest” means an interest of at
least ten (10) percent in the entity;
q) arising out of or in connection with a Claim resulting from:
(i) War, invasion, act of foreign enemy, hostilities or warlike operations
(whether war is declared or not) civil war, mutiny, insurrection, rebellion,
revolution, military or usurped power;
(ii) Any action taken in controlling, preventing, suppressing or in any way
relating to the excluded situations in (i) above including, but not limited to,
confiscation, nationalisation, damage to or destruction of property by or
under the control of any Government or Public or Local Authority;
(iii) Any act of terrorism regardless of any other cause contributing
concurrently or in any other sequence to the loss;
14 2019/2020 LPIIF Master Policy
For the purpose of this exclusion, terrorism includes an act of violence or any
act dangerous to human life, tangible or intangible property or infrastructure
with the intention or effect to influence any Government or to put the public or
any section of the public in fear;
r) arising out of or in connection with any Claim resulting from:
(i) ionising radiations or contamination by radio-activity from any nuclear fuel
or from any nuclear waste from the combustion or use of nuclear fuel;
(ii) nuclear material, nuclear fission or fusion, nuclear radiation;
(iii) nuclear explosives or any nuclear weapon;
(iv) nuclear waste in whatever form;
regardless of any other cause or event contributing concurrently or in any other
sequence to the loss. For the purpose of this exclusion only, combustion
includes any self-sustaining process of nuclear fission or fusion;
s) arising out of or resulting from the hazardous nature of asbestos in whatever
form or quantity; and
t) Legal Services carried out in violation of the Act and the Rules.
Fraudulent applications for indemnity
17. The Insurer will reject a fraudulent application for indemnity.
Claims arising out of dishonesty or fraud
18. Any Insured will not be indemnified for a Claim that arises:
a) directly or indirectly from any Dishonest, fraudulent or other criminal act or
omission by that Insured;
b) directly or indirectly from any Dishonest, fraudulent or other criminal act or
omission by another party and that Insured was knowingly connected with, or
colluded with or condoned or acquiesced or was party to that dishonesty, fraud
or other criminal act or omission.
15 2019/2020 LPIIF Master Policy
Subject to clauses 16, 19 and 20, this exclusion does not apply to an Innocent
Principal.
19. In the event of a Claim to which clause 18 applies, the Insurer will have the
discretion not to make any payment, before the Innocent Principal takes all
reasonable action to:
a) institute criminal proceedings against the alleged Dishonest party and present
proof thereof to the Insurer; and/or
b) sue for and obtain reimbursement from any such alleged Dishonest party or its
or her or his estate or legal representatives;
Any benefits due to the alleged Dishonest party held by the Legal Practice, must,
to the extent allowable by law, be deducted from the Legal Practice’s loss.
20. Where the Dishonest conduct includes:
a) the witnessing (or purported witnessing) of the signing or execution of a
document without seeing the actual signing or execution; or
b) the making of a representation (including, but not limited to, a representation by
way of a certificate, acknowledgement or other document) which was known at
the time it was made to be false;
The Excess payable by the Innocent Insured will be increased by an additional
20%.
21. If the Insurer makes a payment of any nature under the policy in connection with a
Claim and it later emerges that it wholly or partly arose from a Dishonest, fraudulent
or other criminal act or omission of the Insured, the Insurer will have the right to
recover full repayment from that Insured and any party knowingly connected with
that Dishonest, fraudulent or criminal act or omission.
The Insured’s rights and duties
22. The Insured must;
16 2019/2020 LPIIF Master Policy
a) give immediate written notice to the Insurer of any circumstance, act, error
or omission that may give rise to a Claim; and
b) notify the Insurer in writing as soon as practicable, of any Claim made
against them, but by no later than one (1) week after receipt by the Insured,
of a written demand or summons/counterclaim or application. In the case of
a late notification of receipt of the written demand, summons or application
by the Insured, the Insurer reserves the right not to indemnify the Insured
for costs and ancillary charges incurred prior to or as a result of such late
notification.
23. Once the Insured has notified the Insurer, the Insurer will require the Insured to
provide a completed Risk Management Questionnaire and to complete a claim
form providing all information reasonably required by the Insurer in respect of the
Claim. The Insured will not be entitled to indemnity until the claim form and Risk
Management Questionnaire have been completed by the Insured, to the Insurer’s
reasonable satisfaction and returned to the Insurer.
24. The Insured:
24.1. shall not cede or assign any rights in terms of this policy;
24.2. agrees not to, without the Insurer’s prior written consent:
a) admit or deny liability for a Claim;
b) settle a Claim;
c) incur any costs or expenses in connection with a Claim unless the sum of the
Claim and Claimant’s Costs falls within the Insured’s Excess;
failing which, the Insurer will be entitled to reject the Claim, but will have sole
discretion to agree to provide indemnity, wholly or partly.
25. The Insured agrees to give the Insurer and any of its appointed agents:
25.1. all information and documents that may be reasonably required, at the
Insured’s own expense.
17 2019/2020 LPIIF Master Policy
25.2. assistance and cooperation, which includes, but not limited to, preparing,
service and filing of notices and pleadings by the Insured as specifically
instructed by the Insurer at the Insurer’s expense, which expenses must
be agreed to in writing.
26. The Insured also gives the Insurer or its appointed agents the right of reasonable
access to the Insured’s premises, staff and records for purposes of inspecting or
reviewing them in the conduct of an investigation of any Claim where the Insurer
believes such review or inspection is necessary.
27. Notwithstanding anything else contained in this policy, should the Insured fail or
refuse to provide information, documents, assistance or cooperation in terms of this
policy, to the Insurer or its appointed agents and remain in breach for a period of
ten (10) working days after receipt of written notice to remedy such breach (from the
Insurer or its appointed agents) the Insurer has the right to:
a) withdraw indemnity; and/or
b) report the Insured’s conduct to the regulator; and/or
c) recover all payments and expenses incurred by it.
For the purposes of this paragraph, written notice will be sent to the address last
provided to the Insurer by the Insured and will be deemed to have been received
five (5) working days after electronic transmission or posting by registered mail.
28. By complying with the obligation to disclose all documents and information required
by the Insurer and its legal representatives, the Insured does not waive any claim
of legal professional privilege or confidentiality.
29. Where a breach of, or non-compliance with any term of this policy by the Insured
has resulted in material prejudice to the handling or settlement of any Claim against
the Insured, the Insured will reimburse the Insurer the difference between the sum
payable by the Insurer in respect of that Claim and the sum which would in the sole
opinion of the Insurer have been payable in the absence of such prejudice. It is a
condition precedent of the Insurer’s right to obtain reimbursement, that the Insurer
has fully indemnified the Insured in terms of this policy.
18 2019/2020 LPIIF Master Policy
30. Written notice of any new Claim must be given to:
Legal Practitioners’ Indemnity Insurance Fund NPC
1256 Heuwel Avenue|Centurion|0127
PO Box 12189|Die Hoewes|0163
Docex 24 | Centurion
Email: [email protected]
Tel:+27(0)12 622 3900
The Insurer’s rights and duties
31. The Insured agrees that:
a) the Insurer has full discretion in the conduct of the Claim against the Insured
including, but not limited to, its investigation, defence, settlement or appeal in
the name of the Insured;
b) the Insurer has the right to appoint its own legal representative(s) or service
providers to act in the conduct and the investigation of the Claim;
The exercise of the Insurer’s discretion in terms of a) will not be unreasonable.
32. The Insurer agrees that it will not settle any Claim against any Insured without prior
consultation with that Insured. However, if the Insured does not accept the
Insurer’s recommendation for settlement:
a) the Insurer will not cover further Defence Costs and Claimant’s Costs beyond
the date of the Insurer’s recommendation to the Insured; and
b) the Insurer’s obligation to indemnify the Insured will be limited to the amount
of its recommendation for settlement or the Insured’s available Annual
Amount of Cover (whichever is the lesser amount).
33. If the amount of any Claim exceeds the Insured’s available Annual Amount of
Cover the Insurer may, in its sole discretion, hold or pay over such amount or any
19 2019/2020 LPIIF Master Policy
lesser amount for which the Claim can be settled. The Insurer will thereafter be
under no further liability in respect of such a Claim, except for the payment of
Approved Costs or Defence Costs incurred prior to the date on which the Insurer
notifies the Insured of its decision.
34. Where the Insurer indemnifies the Insured in relation to only part of any Claim, the
Insurer will be responsible for only the portion of the Defence Costs that reflects
an amount attributable to the matters so indemnified. The Insurer reserves the right
to determine that proportion in its absolute discretion.
35. In the event of the Insured’s material non-disclosure or misrepresentation in respect
of the application for indemnity, the Insurer reserves the right to report the Insured’s
conduct to the regulator and to recover any amounts that it may have incurred as a
result of the Insured’s conduct.
36. If the Insurer makes payment under this policy, it will not require the Insured’s
consent to take over the Insured’s right to recover (whether in the Insurer’s name
or the name of the Insured) any amounts paid by the Insurer;
37. All recoveries made in respect of any Claim under this policy will be applied (after
deduction of the costs, fees and expenses incurred in obtaining such recovery) in
the following order of priority:
a) the Insured will first be reimbursed for the amount by which its liability in respect
of such Claim exceeded the Amount of Cover provided by this policy;
b) the Insurer will then be reimbursed for the amount of its liability under this policy
in respect of such Claim;
c) any remaining amount will be applied toward the Excess paid by the Insured
in respect of such Claim.
38. If the Insured gives notice during an Insurance Year, of any circumstance, act,
error or omission (or a related series of acts, errors or omissions) which may give
rise to a Claim or Claims, then any Claim or Claims in respect of that/those
circumstance/s, act/s, error/s or omission/s subsequently made against the Insured,
20 2019/2020 LPIIF Master Policy
will for the purposes of this policy be considered to fall within one Insurance Year,
being the Insurance Year of the first notice.
39. This policy does not give third parties any rights against the Insurer.
How the parties will resolve disputes
40. Subject to the provisions of this policy, any dispute or disagreement between the
Insured and the Insurer as to any right to indemnity in terms of this policy, or as to
any matter arising out of or in connection with this policy, must be dealt with in the
following order:
a) written submissions by the Insured must be referred to the Insurer’s internal
complaints/dispute team at [email protected] or to the address set out in
clause 30 of this policy, within thirty (30) days of receipt of the written
communication from the Insurer which has given rise to the dispute;
b) should the dispute not have been resolved within thirty (30) days from the date
of receipt by the Insurer of the submission referred to in a), then the parties must
agree on an independent Senior Practitioner who has experience in the area
of professional indemnity insurance, to whom the dispute can be referred for a
determination. Failing such an agreement, the choice of such Senior
Practitioner must be referred to the Chairperson of the Legal Practice Council
to appointment the Senior Practitioner with the relevant experience;
c) the parties must make written submissions which will be referred for
determination to the Senior Practitioner referred to in b). The costs incurred in
so referring the matter and the costs of the Senior Practitioner will be borne
by the unsuccessful party;
d) the determination does not have the force of an arbitration award. The
unsuccessful party must notify the successful party in writing, within thirty (30)
days of the determination by the Senior Practitioner, if the determination is not
accepted to it;
40. The procedures in a) b) c) and d) above must be completed before any formal legal
action is undertaken by the parties.
21 2019/2020 LPIIF Master Policy
SCHEDULE A
Period of Insurance: 1st July 2019 to 30th June 2020 (both days inclusive)
No of Principals
Annual Amount of Cover for Insurance Year
1 R1 562 500
2 R1 562 500
3 R1 562 500
4 R1 562 500
5 R1 562 500
6 R1 562 500
7 R1 640 625
8 R1 875 000
9 R2 109 375
10 R2 343 750
11 R2 578 125
12 R2 812 500
13 R3 046 875
14 and above R3 125 000
22 2019/2020 LPIIF Master Policy
SCHEDULE B
Period of Insurance: 1st July 2019 to 30th June 2020 (both days inclusive)
No of Principals
Column A
Excess for prescribed
RAF* and Conveyancing
Claims**
Column B
Excess for all other Claims**
1 R35 000 R20 000
2 R63 000 R36 000
3 R84 000 R48 000
4 R105 000 R60 000
5 R126 000 R72 000
6 R147 000 R84 000
7 R168 000 R96 000
8 R189 000 R108 000
9 R210 000 R120 000
10 R231 000 R132 000
11 R252 000 R144 000
12 R273 000 R156 000
13 R294 000 R168 000
14 and above R315 000 R180 000
*The applicable Excess will be increased by an additional 20% if Prescription Alert is
not used and complied with.
23 2019/2020 LPIIF Master Policy
**The applicable Excess will be increased by an additional 20% if clause 20 of this policy
applies.